National Provider Identifier
Diane O Bullock, LPN
Diane O Bullock, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 490-3369.
Profile Overview
- NPI
- 1417286535
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 19, 2009
- Last Updated
- December 19, 2009
Practice Location
- 2660 Chili Ave
- Bldg 28 Apt 14
- Rochester, NY 14624-4101
Phone: (585) 490-3369
Mailing Address
- PO Box 17523
- Rochester, NY 14617-0523
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1417286535
- Entity Type
- Individual
- Last Name
- Bullock
- First Name
- Diane
- Middle Name
- O
- Credential
- LPN
- Mailing Street Address
- PO Box 17523
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-0523
- Mailing Country
- US
- Mailing Phone
- (585) 490-3369
- Practice Street Address
- 2660 Chili Ave
- Practice Address Line 2
- Bldg 28 Apt 14
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-4101
- Practice Country
- US
- Practice Phone
- (585) 490-3369
- Enumeration Date
- December 19, 2009
- Last Updated
- December 19, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)